SHF - Youth Community Academy Application



SONOMA COUNTY SHERIFF'S OFFICE
YOUTH COMMUNITY ACADEMY APPLICATION
 

Thank you for applying for the Community Academy! Please fill out this form completely.

PARTICIPANT REQUIREMENTS
Potential Candidates for the community academy must meet the following criteria:

  • Participant must be between the ages of 14-18 years (14 year olds must be entering their freshman year and 18 year olds must be entering their senior year of high school) 
  • Must live or go to school in Sonoma County
  • Community members must live or work in Sonoma County No prior felony convictions
  • No prior felony or misdemeanor convictions

Any of the above listed requirements may be waived upon review and approval of the Sheriff

YOUTH ACADEMY RULES AND REGULATIONS

  • Students, whether during academy classes or during off-program times, will not engage in any inappropriate conduct. This includes both criminal activity or any behavior that threatens or impedes on the participants and staff’s ability to participate in a safe/non-hostile environment.
  • Students are expected to attend all classes. Excused absences will be handled on a case by case basis.
  • Unexcused absences will result in dismissal from the program. Please notify the program coordinator of any absences by no later than 8:00 a.m. that day.
  • Tardiness will not be tolerated. Any student who is more than 20 minutes late will be considered absent. A student who is less than 20 minutes late on 2 occasions will be dismissed from the program.
  • Students shall maintain a clean, groomed appearance at all times. Baggy clothing and display of offensive material will not be tolerated. Students will be given a class shirt, which must be worn to each class.
  • Students will come to class prepared for scheduled lessons and will bring all necessary materials.
  • Expect to participate. Each student is expected to participate in discussions and activities.
  • Failure to comply with any of these regulations may result in dismissal from the academy.

Upcoming Academy Dates: 
Dates of academy: June 22-26  
Open application: April 20 
Close application: May 18
You will hear a decision by: May 26 


APPLICANTS WILL BE NOTIFIED OF THE STATUS OF THEIR APPLICATION 4 WEEKS PRIOR TO THE START OF THE PROGRAM.

YOUTH'S INFORMATION

Sex
T-Shirt Size (Adult Sizing)

PARENT INFORMATION

Parent / Legal Primary Language?

EMERGENCY CONTACT

EMPLOYEMENT HISTORY (YOUTH)

Have you ever been fired from a job or asked to resign?
Have you ever been convicted of any law violation, other than a traffic violation?

REFERENCES

Please list two references, not relatives, who have knowledge of you professionally and/or personally. References must be 18 years of age or older

QUESTIONNAIRE

AUTHORIZATIONS


AUTHORIZATION TO CONDUCT A BACKGROUND CHECK
 

As an applicant for the Sonoma County Sheriff's Office Youth Academy, I hereby authorize the Sonoma County Sheriffs Office to conduct a criminal history background investigation, including convictions, pending charges, and outstanding warrants. I understand that this criminal history check is being conducted due to the nature of the classes given at the Youth Citizens’ Academy. I understand that all available police and criminal records will be checked and that the information will be used solely for determining eligibility of applicants for the Youth Academy. All information is to remain confidential as required by state and federal statutes.


AFFIDAVIT
PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING

I certify that all information provided in this application is true and complete. I understand that any false information or omission may disqualify me from further consideration for acceptance into the Sonoma County Sheriff’s Office Youth Citizen’s Academy and may result in my dismissal if discovered at a later date.

I understand that this application for acceptance to the Sonoma County Sheriff’s Office Youth Citizen’s Academy does not create an express or implied acceptance into the Academy nor guarantee acceptance for any definite period of time. If accepted, I understand that I have been accepted in the Youth Citizen’s Academy at the will of the Sonoma County Sheriff’s Office and my status may be terminated at any time. 

I have read, understand, and by my signature consent to these statements. 

Contact us at:
Office: (707) 565-2650     |     E-mail: sheriff-outreach@sonomacounty.gov
Sonoma County Sheriff's Office
2796 Ventura Ave.
Santa Rosa, CA 95403
ATTN: Community Outreach Unit